Provider Demographics
NPI:1215430756
Name:BENT TREE MEDICINE, PLLC
Entity type:Organization
Organization Name:BENT TREE MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:DONACHIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-733-7242
Mailing Address - Street 1:1820 PRESTON PARK BLVD STE 2500
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3674
Mailing Address - Country:US
Mailing Address - Phone:972-733-7242
Mailing Address - Fax:972-733-7257
Practice Address - Street 1:6839 COMMUNICATIONS PKWY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5991
Practice Address - Country:US
Practice Address - Phone:972-733-7242
Practice Address - Fax:972-733-7257
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENT TREE PSYCHIATRIC ASSOC PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-12
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty